FAQ s ABOUT THE ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK (OPTN) KIDNEY PAIRED DONATION PILOT PROGRAM
|
|
- Lora Wilson
- 8 years ago
- Views:
Transcription
1 FAQ s ABOUT THE ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK (OPTN) KIDNEY PAIRED DONATION PILOT PROGRAM What is Kidney Paired Donation? Kidney paired donation (KPD) helps donors who are medically able, but cannot donate a kidney to a loved one because they are incompatible (i.e., poorly matched). For example, Mary wants to donate her kidney to her husband, Carlos. Amir wants to donate his kidney to his coworker, Shauna. Unfortunately, Mary can t donate to Carlos because she is blood type A and Carlos is blood type B. Amir can t donate to Shauna because he is blood type B and Shauna is blood type A. Fortunately, Mary is a match for Shauna and Amir is a match for Carlos. See Diagram 1. The Organ Procurement and Transplantation Network (OPTN) KPD Pilot Program, discussed below, supports people in this situation by helping recipient/donor pairs who are incompatible with each other find another recipient/donor pair(s) with whom they are compatible so that transplants can proceed. Typically, an exchange transplant involves 2 recipient/donor pairs; however, on occasion, an exchange could involve more than 2 recipient/donor pairs and/or a non-directed donor. Mary Blood Type A Incompatible Pair Carlos Blood Type B Amir Blood Type B Incompatible Pair Shauna Blood Type A Diagram 1 What is the OPTN KPD Pilot Program? The KPD Pilot Program is part of the OPTN. The OPTN is managed by the United Network for Organ Sharing (UNOS) through a contract with the Health Resources and Services Administration (HRSA). The OPTN registers and tracks everyone who registers in the Pilot Program. If you decide to join the OPTN KPD Pilot Program, a member of your transplant team will enter your medical information into a computerized system that works with transplant centers and organ recovery agencies throughout the United States to search for cases where the donor in each pair is compatible with the recipient in another pair (or multiple pairs). By exchanging the donors, a compatible match for both recipients can be found. 1
2 Why is a Pilot Program needed? There are KPD programs that exist and operate regionally. With its ability to locate incompatible living donors and recipients across the country, the KPD Pilot Program will test the benefits of having a national program, where matches can take place across the country. The goal is to find as many compatible pairs of potential donors and recipients as possible, while considering the needs of special populations (including children and highly sensitized recipients). By pilot testing this program, the OPTN will be able to use the information gained to correct any problems and improve the system. The OPTN can also make sure that the transplant centers understand and meet the program requirements and then use this information to develop national policy. The Pilot Program follows OPTN Operational Guidelines and the OPTN will continue to evaluate the Pilot Program until it determines the best way to run the KPD system. When a final policy is developed by the OPTN from information gained, the OPTN KPD Pilot Program will become permanent. You can find the OPTN KPD Pilot Program Briefing Paper and Operational Guidelines at Who can participate in the OPTN KPD Pilot Program? If you are eligible for a kidney transplant, are on the deceased donor waiting list, and are receiving care at an OPTN-approved transplant center in the United States, then you can join the Pilot Program. You do not have to be on dialysis to join. Potential living donors must follow the evaluation and consent requirements found in the OPTN KPD Pilot Program Operational Guidelines (see and be willing to take part in an exchange. Pairs usually join because the potential living donor and recipient have incompatible blood or tissue types. However, non-directed donors may also participate in the Pilot Program. What is a Good Samaritan or Non-directed Donor? People who wish to donate a kidney to a person they do not know are referred to as non-directed donors (also known as altruistic or Good Samaritan donors). A non-directed donor may help to match incompatible pairs that could not otherwise be matched. This way, the non-directed donor can allow multiple patients to receive a kidney transplant as a result of their one gift. What is a donor chain? If an exchange is started from a non-directed donor, then an extra kidney is brought into the system of recipient/donor pairs. As such, the last recipient will have a living donor(s) who has not donated. This donor will donate to a candidate on the deceased donor waiting list. This situation is referred to as a donor chain. What are the medical requirements to join the OPTN KPD Pilot Program? The medical criteria to join are based on the KPD Pilot Program Operational Guidelines (see internet address above). Each transplant center may have additional medical requirements, so it is important for potential donors and recipients to talk with the transplant center about the medical requirements. Some general requirements are listed below: 2
3 All recipients must: Be eligible to receive a kidney transplant, Be registered on the deceased donor waiting list, Have a willing living donor who is medically suitable, but unable to donate because of an incompatible blood type or positive crossmatch test, and Consent to participate in writing (he or she may decline to participate at any time). All potential living donors must: Be at least 18 years old; Be willing to donate to a friend or relative, but cannot because of an incompatible blood type or positive crossmatch test or, in the case of a non-directed donor, be willing to donate a kidney to a recipient identified through the OPTN KPD Pilot Program; Complete a series of medical and psychosocial evaluations to determine if he or she is eligible to donate a kidney; Not be currently listed as a donor for anyone other than the potential recipient in the OPTN KPD Pilot Program (the donor may be listed in other paired exchanges); Be able to consent to participate in writing (he or she may decline to participate at any time); Expect to be contacted by the transplant center regarding his or her health status for 2 years post-donation; and Agree to commit to postoperative follow-up testing, which is coordinated by the actual recipient s transplant center for 2 years. What are the possible risks and benefits of participating in a kidney paired donation program? Both the risks and benefits of KPD will be discussed with the potential living donor and recipient in detail by the assigned transplant center as part of the consent process. Some of the possible risks and benefits are provided below. Please note, however, that there is no guarantee that a recipient or a potential living donor will receive any benefit from participating in the OPTN KPD Pilot Program. This document is not a surgical consent form. Possible risks for recipients and donors include (not limited to): Surgery is major and requires anesthesia; thus, there are possible medical complications including injury and death discuss these risks in detail with the transplant center. The organ may not function after being transplanted into or may be rejected by recipient. Scars, pain, fatigue. Negative psychological symptoms (such as anxiety, depression, etc.) are possible after donation. Possible impact on lifestyle. Potential financial effects. Possible risk of breach of confidential information if all safeguards are not followed (please discuss with the transplant center). It is possible for something to happen in the operating room that makes it necessary to stop a donor procedure. In this case, one recipient would not receive a kidney. Also, if it 3
4 is necessary to stop a recipient surgery, a kidney would still be available for someone else. This kidney would then be offered to another recipient on the OPTN waiting list following OPTN distribution policies. Possible benefits for recipients and donors include (not limited to): The recipient may receive the benefit of a compatible living donor kidney transplant by participating in the program. Kidneys that come from a living donor last longer, on average, than kidneys that come from a deceased donor. The recipient may also require less immunosuppressant drug therapy after a transplant from a living donor. Transplant recipients may wait less time for a transplant. Transplant recipients may spend less time on dialysis. Transplant recipients may receive a transplant before they begin dialysis. Potential donors are assigned an Independent Donor Advocate (IDA), who will advocate for and promote their best interests. It can be a rewarding experience for the donor as more families are helped by their donation. What costs or payments are involved in joining the OPTN KPD Pilot Program? There is no cost for registering. Potential donors or recipients will not receive payments or compensation of any kind if they participate. Potential donors need to discuss the financial risks of participating in the OPTN KPD Pilot Program and the resources that may be available with the transplant center. There are national and possible local resources available, such as the National Living Donor Assistance Center, which may be able to assist those who qualify (see end of document for list). In certain cases, for example, qualifying donors may be reimbursed for limited travel and subsistence expenses. Do potential living donors or recipients have to sign a contract promising they won t change their minds in order to participate in the OPTN KPD Pilot Program? No, potential living donors and recipients have the right to change their minds and end the process at any time. There is no penalty for doing so and the decision remains confidential; an explanation of the donor s decision not to continue with the donation is only disclosed if the donor agrees. As mentioned previously, every potential living donor who participates in the Pilot Program is assigned an IDA. The IDA promotes the best interests of the potential living donors and advocates for their rights. What are the alternatives to participating in the OPTN KPD Pilot Program? The transplant center will discuss with potential living donors and recipients the alternatives to KPD, including deceased donation. Participants may decline to participate at any time without any penalties. 4
5 How are recipient/donor pairs matched-up? Every potential living donor and recipient who is interested in exchanging kidneys is entered into the OPTN KPD database along with their tissue type and blood type. A transplant coordinator will also enter other factors, including where a potential living donor is willing to travel to donate; the maximum age of a donor that a recipient is willing to accept; etc. Approximately every 4 weeks, the computer system identifies potential matches (or exchange pairs). If a potential exchange pair is identified, transplant surgeon, physicians, and transplant center program staff will review the match. All individuals involved have the option to decline identified potential exchange pairs. How are recipient/donor pairs informed of possible identified matching pairs? The transplant center will contact the recipient/donor pair if the program identifies a potential pair that matches. At that point, the center will arrange for both the potential recipient and the potential living donor to receive crossmatch tests to confirm compatibility to the matched donor or recipient. The transplant center will notify the donor/recipient pair with the results of the crossmatch tests. Recipient/donor pairs should discuss when they will be contacted about potential matches and what type of information the transplant center will share with them. How does a recipient know that a matched donor will be a medically acceptable donor? Each potential living donor must go through medical and psychosocial evaluations before being accepted into the program. Every potential living donor is evaluated according to standard medical practice. The recipient s transplant center will enter screening criteria for the recipient in the OPTN KPD database indicating the minimum medical requirements for a donor for the potential recipient. The recipient s transplant center will determine if the donor kidney offered is appropriate for their recipient. How are the recipient and donor involved in evaluating the suitability of a match? The OPTN KPD Operational Guidelines state that once a match has been found, the recipient s transplant center will receive the matched donor s center name and the de-identified medical data regarding the matched potential living donor. The potential living donor s center will be told the name of the center treating the matched recipient. Any additional information would be shared only by mutual agreement of the centers involved. Recipients and living donors should discuss with their transplant center: what information will be shared with them, how the center will decide what additional information is necessary, whether they will be involved in deciding what additional information will be shared, what additional consent may be necessary to share this information, and how they will be involved in determining whether the match is suitable. 5
6 What information will a donor receive about a matched recipient? The potential living donor s center will be told the name of the center treating the matched recipient. Confidentiality in medicine is heavily regulated. Any additional information would be shared only by mutual agreement of the centers. Transplant centers will not share information that would violate any person s confidentiality. Potential living donors should discuss with their transplant center: what information with be shared with them, how the center will decide what additional information is necessary, whether they will be involved in deciding what additional information will be shared, what additional consent may be necessary to share this information, and how they will be involved in determining whether the match is suitable. The potential living donor should be aware that they may not know any medical information about the matched recipient, other than the fact that the recipient s physician has determined that a transplant is a medically suitable treatment for the potential recipient. The risk of organ failure will be different for every patient. It is not possible to inform the donor of the likely risk of organ failure for a given recipient. What is the chance of finding a match? How long does it take to find an exchange pair that matches? Different factors affect the chances of finding a match. It can take anywhere from 1 month to several years to find an exchange pair that matches. Whether or not a match is found and the length of time it takes to find a match depends on many factors, including: The number of potential living donors each potential recipient brings into the program: A potential recipient who has more than one willing potential living donor, only one of whom will eventually donate, has a greater chance of finding a match and a greater chance of finding a match in a shorter time frame. Blood Types of potential living donors and recipients: People with common blood types will have a greater chance of finding a match and a greater chance of finding a match in a shorter time frame. Potential recipient s sensitization level: Those with low sensitization will have a greater chance of finding a match. If a recipient has been exposed to another person s tissue through a pregnancy, blood transfusion, or a previous transplant, they can develop very specific antibodies to that person s tissue (antigens). If they were to receive another transplant that contained those same antigens, it could cause a severe reaction (rejection of the kidney). The greater number of antibodies a recipient has, the harder it is to find a match. The number of participants registered in the OPTN KPD Pilot Program: The greater the number of pairs in the system, the more likely a possible recipient/donor match will be found and the more likely a match can be found quickly. Recipients who previously donated an organ will receive some priority in matching (discuss with the transplant center). 6
7 How many pairs are involved in a KPD exchange? There could be as few as 2 pairs involved or as many as 3 pairs involved, depending on the results of the match run and choices of the recipients and transplant centers. As stated above, non-directed donors may also participate in the OPTN KPD Pilot Program. In a donor chain, up to 20 pairs can be involved. Can the pairs meet? Yes, if everyone involved in the KPD process agrees to the meeting. The transplant center will discuss the program s protocols and make the arrangements. Where would the transplant take place? Transplant recipients will generally have their surgery at the transplant center where they currently receive care or at a center where he/she is multi-listed. However, a potential recipient may travel to another transplant center if the donor is unable or unwilling to travel. The information initially entered in the database indicates whether the potential recipients are willing to travel and if they are willing to accept a shipped kidney (with informed consent of the risks by the transplant center). In both two-pair and three-pair exchanges, the donor surgeries begin at the same time. The recipient surgeries start after the donor surgeries. In a donor chain where surgeries are not simultaneous, the candidate must receive a transplant before his or her intended donor donates. Would the donors have to travel to the matched recipient s center for their donation? A transplant coordinator will enter into the OPTN KPD database whether the potential donor is able and willing to travel for surgery. This information is considered in the process of matching potential donors with potential recipients. However, some transplant centers will ask the donor to travel and the decision to do so is made by the donor and transplant center, together. If a donor is asked to travel for surgery, a team including a transplant coordinator, a surgeon, and a nephrologist will work to meet the traveling donor s needs. In some cases, the donor has surgery at the center where he/she was first evaluated and the kidney may be shipped to the matched recipient s transplant center. There are increased risks associated with the transport of organs. (These risks will be explained in detail by the transplant team.) Thus, having the donor travel to the recipient s transplant center decreases the risk involved in moving the donated kidney to a different transplant center. Donors and recipients should talk about the best options with the transplant center. As stated above, there are national and possible local resources available that may be able to assist those who qualify with travel expenses (these are listed at the end of this document). Those who need help with travel or who will need financial assistance should discuss their options and needs with the transplant center 7
8 Who decides whether a kidney will be shipped? Both transplant centers and potential living donors have a role in deciding whether a kidney will be shipped. Some transplant centers choose not to participate in exchanges where a kidney will be shipped because they do not want to take on any risk involved with the potential for loss or damage of a shipped kidney. Also, there are some cases where the reimbursement through insurance does not adequately cover the cost of shipping the organ. Similarly, potential living donors have the option to not allow their kidney to be shipped. If a living donor is willing to have his or her kidney shipped, the transplant center must explain any risks of loss or damage of the organ involved with transporting the kidney, and the living donor must specifically consent to having his or her kidney shipped. If the transplant center or living donor chooses not to have a kidney shipped, there are several alternatives: The living donor may travel to the matched recipient s center. The matched recipient may travel to the living donor s center. The living donor may be matched in a situation that does not require shipment of the kidney or travel. These preferences are stored in the OPTN KPD database along with the medical information about the potential living donor. For the match to occur, all medical information as well as the donor s shipping and traveling preferences must be consistent. What are the risks of participating in a kidney paired donation when the kidney is shipped to the recipient transplant center? The living donor kidney will be shipped by ground and/or air transportation to the recipient transplant center. This form of transportation has the risk of courier delay, flight cancellation, or flight delay which would extend the cold ischemic time of the kidney. Cold ischemic time is the amount of time an organ spends being preserved after recovery from the donor. Too much cold ischemic time can affect the quality of the organ for transplant. With clear-cut, organized plans, this risk is decreased. There is the potential risk of problems outside of the transplant center s control such as a plane crash, terrorist activity, and natural disaster. There is a risk of damage to the kidney during transport which would be discovered when the kidney is being inspected at the recipient s transplant center. Is it possible that the recipient outcomes may not be equal or that recipients will not have the same results in an exchange situation? Yes. As with any transplant, recipient outcomes depend on a variety of factors, which will be shared by the transplant center. Potential donors should be aware that their matched recipient may do better than their planned recipient. What information will be entered into the OPTN KPD database and how will this information be used? For recipients: Recipients entered in the KPDPP must be on the OPTN deceased donor waiting list. Therefore, all information entered for a recipient on the OPTN deceased donor waiting list will be available for use in the KPDPP. Additional information, such as any tissue markers 8
9 (antigens) that need to be avoided in the donor in order for a compatible match to be made and recipient matching preferences, will be entered in the OPTN KPD database specifically for use in the KPDPP. Both data entered on the deceased donor waiting list and in the OPTN KPD database are considered OPTN data. For donors: Information entered into the OPTN KPD database includes, but is not limited to: name, date of birth, relationship between potential living donor and incompatible recipient, blood type, current medications, genetic tissue type, and other health information. The personal information entered into the database will be used to identify other potential recipient/donor pairs. Potential living donor data will be shared with the surgeons, physicians, and transplant team at the potential recipient s transplant center. Personal data will be stored indefinitely. How will information remain confidential? Prior to locating a possible match, a potential living donor s or recipient s information will not be shared with anyone outside of the OPTN KPD Pilot Program or the participating transplant centers without the participant s clear permission. Access to the OPTN KPD database will be through a secure, password protected system. After a potential match is identified, the recipient s transplant center will review the matched donor s transplant center and the de-identified medical data. Likewise, the donor s transplant center will review the center of the matched recipient. All other information may be shared outside of the KPD system by the transplant centers on a caseby-case basis. The potential donor s health insurance may provide the matched recipient with the name of the actual matched donor on an Estimate of Benefits form that is sent to the recipient before surgery. This means that recipients may learn of their actual matched donor s identity. Otherwise, the participants medical information will remain confidential to the extent required by law (discuss this with the transplant center). Transplant centers maintain records of potential donor and recipient s written informed consents and living donor evaluations. Laboratories maintain documentation of verification of recipient s HLA typing, sensitization status, and low and high stringency antigens. This information is available to the OPTN contractor upon request. The transplant center must report certain medical conditions to governmental authorities. Once potential living donors and recipients are entered into the database, what else do they have to do to stay active? Potential living donors and recipients will remain active in the OPTN KPD database until they receive a transplant, donate, ask to be withdrawn from the program or are unable to participate because of a new medical condition. It is extremely important for potential living donors and recipients to notify their transplant center if they have any medical or psychological changes or if anything happens that will affect their ability to donate or receive a kidney (for example: if he or she started a new or different medication, have an increase or decrease in weight or any other change in medical status). 9
10 Who will provide medical care following surgery? For recipients, the transplant center that performed the transplant will provide care following transplant. For donors, the transplant center that removed the kidney is responsible for submitting living donor follow-up forms to the OPTN for two years after donation. However, the follow-up evaluation may be provided at that transplant center or by another medical professional, depending on circumstances. Discuss the plan for follow-up care, including who will provide the follow-up care with the transplant center before donation. How will medical care for donors following surgery be paid for? Follow-up care coverage for donors varies by transplant center and insurance type. Discuss the plan for follow up care payment with the transplant center before donation. How do recipient/donor pairs and non-directed donors join the OPTN KPD Pilot Program? All interested pairs should contact the transplant center where the potential recipient is being cared for to discuss the Pilot Program. There is a list of transplant centers at Want more information? All interested parties should contact the transplant center or local organ procurement organization to ask about the OPTN KPD Pilot Program. 10
11 Resources: Below is a list of agencies that may be able to help donors with travel expenses and lodging needs. Additional funding may be available from other sources - please ask the transplant center. National Living Donor Assistance Center (NLDAC) Administered by the University of Michigan in partnership with the American Society of Transplant Surgeons Website: Provides assistance with travel and meals For more information, contact: NLDAC 2461 S. Clark Street, Suite 640 Arlington, VA Phone: Fax: NLDAC@livingdonorassistance.org AOTA (American Organ Transplant Association) For more information call or write: P.O. Box Houston, TX Or visit their website at American Kidney Fund Can assist with costs relating to the donation of a kidney (ie. transportation to transplant center) and living expenses during the recuperation period, based on financial need o National Transplant Assistance Fund: or o National Foundation for Transplants: or (Both are geared more to recipients, but have been willing to offer help to donors in dire circumstances as well.) 11
12 Airline Flights Southwest Airlines Free flight (large budget for charitable giving) 14 days notice prior to flight Limited to 1 round trip ticket for a patient and 1 round trip ticket for a support person if needed per year (may ask for an exception for two tickets) Forms for patient and physician to fill out To apply call for forms and more details Delta Airlines - SkyWish Program Free flight using Donated Frequent Flyer Miles 30 days notice prior to flight Demonstrate financial need To apply go to o Click on programs o Click Delta SkyWish o 4 th paragraph on left side of screen click application download United Airlines Supports TRIO members The TRIO/United Airlines Travel Program is a cooperative arrangement between TRIO and the United Airlines Charity Miles Program. This program allows TRIO members and family members to fly free on transplant-related trips. TRIO is an independent, not-for-profit, international organization committed to improving the quality of life of transplant candidates, recipients, their families and the families of organ and tissue donors. Eligibility for use of the Travel Program is based upon financial need and must be for one of the following purposes: Medical treatment or consultation prescribed by the physician of an organ transplant recipient or candidate, or Travel by an organ donor for the purpose of donation or for medical consultation or treatment which is needed before donation, or One person traveling with a transplant recipient or candidate who must travel and is unable to travel alone, or Donor family member(s), on a case-by-case basis. For more information about eligibility and applying to the program, please call TRIO at TRIO-386 or (202) To donate miles, please call United at
13 Mercy Medical Airlift Free flight using money donated for tickets to purchase One week notice prior to flight To apply call Angel Flight North East Free flight using private and corporate donations; pilots donate time and fuel 4-6 seat airplanes 3-5 business days notice prior to flight Fly within 300 miles from home patient plus one support person Requires birthdates; weight; and medical waiver from physician To apply call or to Internet: Hotels ITM Hospitality Fund Provides free hotel rooms for patients and their families traveling to New York City for medical treatment 4 free nights stay; discount for anything over 4 nights Must apply through participating organization. 13
TA L K I N G A B O U T T R A N S P L A N TAT I O N
TA L K I N G A B O U T T R A N S P L A N TAT I O N Being part of a KPD transplant allowed me to help my husband live a normal life. I was also able to help another family live a normal life. Paired Exchange
More informationTA L K I N G A B O U T T R A N S P L A N TAT I O N
TA L K I N G A B O U T T R A N S P L A N TAT I O N UNITED NETWORK FOR ORGAN SHARING United Network for Organ Sharing (UNOS) is a private non-profit 501(c)(3) organization that operates the Organ Procurement
More informationTransplant Options When You Don t Have a Good Match
Transplant Options When You Don t Have a Good Match 1 Transplant Options When You Don t Have a Good Match Being told you need a transplant may bring about many feelings, including anxiety and uncertainty.
More informationHow does a kidney transplant differ from dialysis?
TA L K I N G A B O U T T R A N S P L A N TAT I O N Frequently Asked Questions about Kidney Transplant Evaluation and Listing If your kidneys have stopped working properly, or may stop working soon, you
More informationCandidates about Multiple Listing and Waiting Time Transfer
TA L K I N G A B O U T T R A N S P L A N TAT I O N Questions & A n s we r s for Transplant Candidates about Multiple Listing and Waiting Time Transfer U N I T E D N E T W O R K F O R O R G A N S H A R
More informationLiving Donor Paired Exchange Registry. What is Living Kidney Donor Paired Exchange?
Living Paired Exchange Registry What is Living Kidney Paired Exchange? The Living Paired Exchange Registry. At Canadian Blood Services, we are committed to helping Canadians help each other. By building
More informationTHE BENEFITS OF LIVING DONOR KIDNEY TRANSPLANTATION. feel better knowing
THE BENEFITS OF LIVING DONOR KIDNEY TRANSPLANTATION feel better knowing your choice will help create more memories. Methods of Kidney Donation Kidneys for transplantation are made available through deceased
More informationLIVING DONATION. What You Need to Know. www.kidney.org
LIVING DONATION What You Need to Know www.kidney.org 2 NATIONAL KIDNEY FOUNDATION TABLE OF CONTENTS About Living Donation.... 4 The Evaluation Process.... 6 Surgery and Recovery.... 12 After Donation....
More informationSaint Francis Kidney Transplant Program Issue Date: 6/9/15
Kidney Transplant Candidate Informed Consent Education Here are educational materials about Kidney Transplant. Please review and read these before your evaluation visit. The RN Transplant Coordinator will
More informationDear Prospective Donor,
Dear Prospective Donor, Considering organ donation is an extraordinary act of kindness. The decision to actually become a living donor should be based on a clear understanding of the benefits as well as
More informationLIVING KIDNEY DONATION
LIVING KIDNEY DONATION 1 THE MICHIGAN DIFFERENCE Why Living Donation? As of May 2011, there were close to 2,500 individuals on the waiting list for a kidney transplant in the state of Michigan and more
More informationIF YOU HAVE ANY QUESTIONS ABOUT THIS NOTICE OR IF YOU NEED MORE INFORMATION, PLEASE CONTACT OUR PRIVACY OFFICER:
NOTICE OF PRIVACY PRACTICES COMPLETE EYE CARE THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
More informationWELCOME TO STRAITH HOSPITAL FOR SPECIAL SURGERY OUR PHILOSOPHY JOINT NOTICE OF PRIVACY PRACTICES
WELCOME TO STRAITH HOSPITAL FOR SPECIAL SURGERY During your stay with us, our goal is to make your hospital experience as favorable as possible by providing information and open channels of communication.
More informationIs a Kidney Transplant Right for Me?
Is a Kidney Transplant Right for Me? Network 8 Introduction What do singer Natalie Cole, actor Ken Howard, funny men Tracy Morgan and George Lopez and fashion reporter Steven Cojocaru have in common? They
More informationCONSENT FORM. Cord Blood Banking for Transplantation
Cord Blood Program Northwest Tissue Center/Puget Sound Blood Center 921 Terry Avenue Seattle, WA 98104 (206) 292-1896 Swedish Medical Center 747 Broadway Seattle, WA 98122 (206) 386-6000 CONSENT FORM Cord
More informationTransplant Coordinator
Have you signed your organ donor card? Hearts, kidneys, livers, and lungs can all be transplanted. When you die, one of your organs could help a critically ill patient live a longer life. What I do every
More informationHIPAA PRIVACY NOTICE PLEASE REVIEW IT CAREFULLY
HIPAA PRIVACY NOTICE THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN OBTAIN ACCESS TO THIS INFORMATION. INTRODUCTION PLEASE REVIEW IT CAREFULLY Moriarty
More informationMODEL FORM. [Program s SART Name and Number] INFORMED CONSENT FOR EGG DONORS
MODEL FORM [Program s SART Name and Number] INFORMED CONSENT FOR EGG DONORS You are agreeing to undergo a cycle of egg donation at [program s SART name]. Do not sign this document if you have not received
More informationWhere Will my New Kidney Come From?
Where Will my New Kidney Come From? The Organ Shortage There is a severe shortage of organs for transplant. This means that the wait for a kidney transplant can be many years. The UW Transplant Program
More informationAdvanced Rheumatology of Houston Offices of Dr. Tamar F Brionez
Advanced Rheumatology of Houston Offices of Dr. Tamar F Brionez New patient history form Patient name DOB Allergies to Medicines: Current Medications Name Dose Times/day taken Social History Married/single/widowed/divorced
More informationNORTHSTAR DERMATOLOGY, PA NOTICE OF PRIVACY PRACTICES
NORTHSTAR DERMATOLOGY, PA NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT
More informationATTACHMENT I TO APPENDIX B OF UNOS BYLAWS
ATTACHMENT I TO APPENDIX B OF UNOS BYLAWS Designated Transplant Program Criteria XIII. Transplant Programs. A. In order to qualify for membership, a transplant program must utilize, for its histocompatibility
More informationQuestions and Answers for Transplant Candidates about the New Kidney Allocation System
TA L K I N G A B O U T T R A N S P L A N TAT I O N U N I T E D N E T W O R K F O R O R G A N S H A R I N G Questions and Answers for Transplant Candidates about the New Kidney Allocation System United
More informationPopulation Health Management Program Notice of Privacy Practices from Piedmont WellStar HealthPlans, Inc.
Population Health Management Program Notice of Privacy Practices from Piedmont WellStar HealthPlans, Inc. Piedmont WellStar HealthPlans, Inc. (PWHP) provides population health management services to its
More informationFinancial Handbook For Liver Transplant Patients
Patient Information Financial Handbook For Liver Transplant Patients 3601 West 13 Mile Road Royal Oak, Michigan 48073-6769 248-898-5000 TDD: 248-898-1986 beaumont.edu P2973Rg_6959_011212 Beaumont Transplant
More informationCompliance Document for Kalamazoo College, G-1013
Compliance Document for Kalamazoo College, G-1013 Employers sponsoring a group health plan are required by law to provide certain notices to individuals within a set time frame. ASR Health Benefits is
More informationCompliance Document for Holland Public Schools, G-768
Compliance Document for Holland Public Schools, G-768 Employers sponsoring a group health plan are required by law to provide certain notices to individuals within a set time frame. ASR Health Benefits
More informationINFORMED CONSENT FOR EGG DONORS PRACTITIONER S GUIDE TO USING THE MODEL FORM
INFORMED CONSENT FOR EGG DONORS PRACTITIONER S GUIDE TO USING THE MODEL FORM A. GENERAL GUIDELINES AND COMMENTS Purpose and Use of the Model Form This is a guide for practitioners to using the Model Informed
More informationNotice of Privacy Practices
Notice of Privacy Practices Effective September 20, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
More informationSarasota Personal Medicine 1250 S. Tamiami Trail, Suite 202 Sarasota, FL 34239 Phone 941.954.9990 Fax 941.954.9995
Sarasota Personal Medicine 1250 S. Tamiami Trail, Suite 202 Sarasota, FL 34239 Phone 941.954.9990 Fax 941.954.9995 NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY
More informationNotice of Privacy Practices
Notice of Privacy Practices THIS NOTICE OF PRIVACY PRACTICES DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
More informationOUR LADY OF THE LAKE, HOSPITAL INC. AND OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC NOTICE OF PRIVACY PRACTICES
OUR LADY OF THE LAKE, HOSPITAL INC. AND OUR LADY OF THE LAKE PHYSICIAN GROUP, LLC NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU
More informationNOTICE OF PRIVACY PRACTICES Allergy Treatment Center of New Jersey, P.C. Effective Date: April 14, 2003
Allergy Treatment Center of New Jersey, P.C. 388 Pompton Avenue 415 Avenel Street Cedar Grove, NJ 07009 Avenel, NJ 07001 (973) 857 9890 (732) 636-7030 NOTICE OF PRIVACY PRACTICES Allergy Treatment Center
More informationLAWRENCE COUNTY MEMORIAL HOSPITAL Lawrenceville, Illinois. NOTICE OF PRIVACY PRACTICES Effective April 14, 2003 Revised May, 2013
LAWRENCE COUNTY MEMORIAL HOSPITAL Lawrenceville, Illinois NOTICE OF PRIVACY PRACTICES Effective April 14, 2003 Revised May, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU WILL BE USED AND
More informationKidney Transplantation
ilearning about your health Kidney Transplantation www.cpmc.org/learning What is Kidney Failure? Normally, kidneys filter waste products from your blood, control the balance of salt and water in your body,
More informationGONZABA MEDICAL GROUP PATIENT REGISTRATION FORM
GONZABA MEDICAL GROUP PATIENT REGISTRATION FORM DATE: CHART#: GUARANTOR INFORMATION LAST NAME: FIRST NAME: MI: ADDRESS: HOME PHONE: ADDRESS: CITY/STATE: ZIP CODE: **************************************************************************************
More informationDETAILED NOTICE OF PRIVACY AND SECURITY PRACTICES OF THE Trustees of the Stevens Institute of Technology Health & Welfare Plan
DETAILED NOTICE OF PRIVACY AND SECURITY PRACTICES OF THE Trustees of the Stevens Institute of Technology Health & Welfare Plan THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
More informationWyoming School Boards Association Insurance Trust ( The Plan ) HEALTH CARE PLAN PRIVACY NOTICE
Wyoming School Boards Association Insurance Trust ( The Plan ) HEALTH CARE PLAN PRIVACY NOTICE THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS
More informationGuilford Medical Associates, P.A.
Page 1 Guilford Medical Associates, P.A. NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE
More informationFacts for the Kidney Donor: Information to Consider
Clinical Transplant Services Kidney/Pancreas Transplant Program Mail Code: CB569 3181 SW Sam Jackson Park Rd. Portland, OR 97239-3098 Tel: 503/494-8500 Toll free: 800/452-1369 x 8500 Fax: 503/494-4492
More informationNOTICE OF PRIVACY PRACTICE UCLA COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS)
Effective Date: September 23, 2013 NOTICE OF PRIVACY PRACTICE UCLA COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS) THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW
More informationAPPLETREE PEDIATRICS, PA NOTICE OF PRIVACY PRACTICES
APPLETREE PEDIATRICS, PA NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
More informationNOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES This notice describes how your medical information may be used and disclosed, and how you can get access to this information. Chaparral House is required to provide you this
More informationPreparing for Transplantation
Preparing for Transplantation How Do I Get on a Transplant List? David A. Dreyfus John B. Valencia I have been told I need a kidney transplant? What s my first step DO Your Homework!! Without a living
More informationPopulation Health Management Program Notice of Privacy Practices from Evolent Health
Population Health Management Program Notice of Privacy Practices from Evolent Health MedStar Health, Inc., a Maryland not-for-profit corporation, has contracted with Evolent Health, Inc., a Delaware corporation
More informationNOTICE OF PRIVACY PRACTICE
Effective Date: September 23, 2013 NOTICE OF PRIVACY PRACTICE UNIVERSITY OF CALIFORNIA SAN FRANCISCO UCSF HEALTH SYSTEM THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
More informationFLORIDA MEDICAL CLINIC, P.A. NOTICE OF PRIVACY PRACTICES
FLORIDA MEDICAL CLINIC, P.A. NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
More informationNorthwest Cardiology Associates 400 W. Northwest Hwy Barrington, IL 60010 847.382.4600 Fax 847.382.1771. HIPAA Notice of Privacy Practices ( Notice )
Northwest Cardiology Associates 400 W. Northwest Hwy Barrington, IL 60010 847.382.4600 Fax 847.382.1771 HIPAA Notice of Privacy Practices ( Notice ) THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY
More informationNotice of Privacy Practices
Notice of Privacy Practices THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Privacy is a very
More informationSOUTHLAKE DERMATOLOGY 1170 N. Carroll Ave. Southlake, TX 76092 www.southlakedermatology.com Main 817-251-6500 Fax 817-442-0550
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. EFFECTIVE September 15, 2014 This Notice of
More informationUAB MY HEALTH REWARDS BIOMETRIC SCREENING PROGRAM NOTICE OF HEALTH INFORMATION PRACTICES
UAB MY HEALTH REWARDS BIOMETRIC SCREENING PROGRAM NOTICE OF HEALTH INFORMATION PRACTICES 1 Effective Date: January 26, 2015 THIS NOTICE APPLIES TO THE UAB MY HEALTH REWARDS BIOMETRIC SCREENING PROGRAM
More informationEffective Date: September 23, 2013
Shawnee Mission Medical Center HIPAA NOTICE OF PRIVACY PRACTICES Effective Date: September 23, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET
More informationSUBJECT: TRAVEL. This policy establishes guidelines for business travel arrangements and travel expense reimbursements.
SUBJECT: TRAVEL 1.0 SCOPE This policy establishes guidelines for business travel arrangements and travel expense reimbursements. 2.0 IMPLEMENTATION This policy shall be adhered to by the staff of all Authority
More informationHIPAA POLICIES & PROCEDURES AND ADMINISTRATIVE FORMS TABLE OF CONTENTS
HIPAA POLICIES & PROCEDURES AND ADMINISTRATIVE FORMS TABLE OF CONTENTS 1. HIPAA Privacy Policies & Procedures Overview (Policy & Procedure) 2. HIPAA Privacy Officer (Policy & Procedure) 3. Notice of Privacy
More informationThe La Crosse Region Power of Attorney for Healthcare Document and The Instructions for Completing this Document
Overview The La Crosse Region Power of Attorney for Healthcare Document and The Instructions for Completing this Document The attached power of attorney for healthcare form is a legal document, developed
More informationNOTICE OF HEALTH INFORMATION PRACTICES
NOTICE OF HEALTH INFORMATION PRACTICES Effective Date: April 14, 2003 Date Amended: 9/5/13 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO
More informationWhere World-Class Expertise and Genuine Compassion Come Together. AT THE FOREFRONT OF TRANSPLANT CARE Kidney Combined Kidney-Pancreas Pancreas Islets
Where World-Class Expertise and Genuine Compassion Come Together 0011000110100111100110111100000101010011000101100010111000010010000100010000100001011110101010101111000 000010111000101110011000110100111100110111100000101010011000101100010111000010010000100010000100
More informationNOTICE OF PRIVACY PRACTICES FOR OUR PATIENTS POTOMAC PHYSICIAN ASSOCIATES, P.C.
NOTICE OF PRIVACY PRACTICES FOR OUR PATIENTS POTOMAC PHYSICIAN ASSOCIATES, P.C. THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
More informationlsh!urology ASSOCIATES OF HOUSTON, P.A.
, Gary lsh!urology ASSOCIATES OF HOUSTON, P.A. S. Hurwitz, M.D., F.A.C.S. Douglas S. Dow, M.D., F.A.C.S. Nathaniel L. Barnes, M.D., F.A.C.S. Thanh A. Nguyen, M.D., F.A.C.S. Matthew D. Hoggatt, M.D. Notice
More informationDirected, Autologous and Therapeutic Donations
Directed, Autologous and Therapeutic Donations Directed Donations: What is a directed donation? A directed donation is when a specific donor makes a blood donation at the request of a patient and the patient
More informationHow To Fix An Electronic Medical Record
PROBLEMS FOR ORGAN PROCUREMENT ORGANIZATIONS CAUSED BY THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS The nationwide adoption of Electronic Medical Records (EMRs) should provide Organ Procurement Organizations
More informationNOTICE OF PRIVACY PRACTICES FOR KU MEDICAL CENTER
Page 1 of 7 NOTICE OF PRIVACY PRACTICES FOR KU MEDICAL CENTER THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
More informationNotice of Privacy Practices. Introduction
Notice of Privacy Practices Introduction At Ohio Valley Medical Center and East Ohio Regional Hospital, we are committed to using and disclosing protected health information about you responsibly. This
More informationHelping you find the one match.. Guide for Unrelated Stem Cell Transplant Patients OneMatch Stem Cell and Marrow Network BLOOD.
Helping you find the one match.. Guide for Unrelated Stem Cell Transplant Patients OneMatch Stem Cell and Marrow Network BLOOD.CA WWW This guide is intended for patients in need of an unrelated volunteer
More informationMaking Health Care Decisions in North Dakota:
Making Health Care Decisions in North Dakota: A Summary of North Dakota Law Regarding Health Care Directives Published by: North Dakota Department of Human Services Aging Services Division 1237 W.Divide
More informationNOTICE TO THE INDIVIDUAL SIGNING THE POWER OF ATTORNEY FOR HEALTH CARE
NOTICE TO THE INDIVIDUAL SIGNING THE POWER OF ATTORNEY FOR HEALTH CARE No one can predict when a serious illness or accident might occur. When it does, you may need someone else to speak or make health
More informationEye Clinic of Bellevue, LTD. P.S. Privacy Policy EYE CLINIC OF BELLEVUE LTD PS NOTICE OF INFORMATION PRACTICES
Eye Clinic of Bellevue, LTD. P.S. Privacy Policy EYE CLINIC OF BELLEVUE LTD PS NOTICE OF INFORMATION PRACTICES Date of Last Revision: 4/8/03 Effective Date: Immediately This information is made available
More informationMILITARY HEALTH SYSTEM NOTICE OF PRIVACY PRACTICES. Effective April 14, 2003
HEALTH AFFAIRS MILITARY HEALTH SYSTEM NOTICE OF PRIVACY PRACTICES Effective April 14, 2003 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO
More informationNOTICE OF PRIVACY PRACTICES ILLINOIS EYE CENTER
NOTICE OF PRIVACY PRACTICES ILLINOIS EYE CENTER THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
More informationHealth Care Proxy Appointing Your Health Care Agent in New York State
Health Care Proxy Appointing Your Health Care Agent in New York State The New York Health Care Proxy Law allows you to appoint someone you trust for example, a family member or close friend to make health
More informationDALLAS ALLERGY & ASTHMA CENTER
DALLAS ALLERGY & ASTHMA CENTER Gary N. Gross, MD Michael E. Ruff, MD 5499 Glen Lakes Dr., Suite 100 Dallas, TX 75231 Dania A. Wierzbicki, MD Phone: (214) 691-1330 Jane Zepeda, PA-C FAX: (214) 691-6405
More informationARIZONA Advance Directive Planning for Important Health Care Decisions
ARIZONA Advance Directive Planning for Important Health Care Decisions CaringInfo 1731 King St., Suite 100, Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CARINGINFO CaringInfo, a program of the
More informationNOTICE OF PRIVACY PRACTICES
Page 1 of 6 NOTICE OF PRIVACY PRACTICES Revised: June 15, 2014 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
More informationAMERICAN INTERNATIONAL COMPANIES Page 1 ORGAN PROCUREMENT ORGANIZATION & TISSUE BANK SUPPLEMENTAL APPLICATION
AMERICAN INTERNATIONAL COMPANIES Page 1 This is a Supplemental Application which becomes part of the Lexington Miscellaneous Facilities Application. The Applicant represents that the statements and facts
More informationHarris County - Texas HIPAA Notice of Privacy Practices
Harris County - Texas HIPAA Notice of Privacy Practices Effective Date: September 23, 2013. THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS
More informationIs a kidney transplant right for me?
Is a kidney transplant right for me? Your guide to the transplant process www.esrdncc.org Contents Introduction 3 What is a Transplant Center? 4 What is the Waiting List? 5 What Happens After the Surgery?
More informationPolicy & Procedure AUTUMN RIDGE RESIDENTIAL CARE. March, 2013
AUTUMN RIDGE RESIDENTIAL CARE Policy & Procedure HIPAA / PRIVACY NOTICE OF PRIVACY PRACTICES FUNCTION NUMBER PRIOR ISSUE EFFECTIVE DATE March, 2013 PURPOSE To ensure that a Notice of Privacy Practices
More informationIf you are under 18 years of age, your parents or guardian must sign for you and handle your privacy rights for you.
HIPAA NOTICE OF PATIENT PRIVACY PRACTICES CWCC618 Exhibit A Effective Date: November 1, 2011 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS
More informationIDAHO Advance Directive Planning for Important Healthcare Decisions
IDAHO Advance Directive Planning for Important Healthcare Decisions CaringInfo 1731 King St., Suite 100 Alexandria, VA 22314 www.caringinfo.org 800/658-8898 CaringInfo, a program of the National (NHPCO),
More informationACKNOWLEDGEMENT OF RECEIPT OF WESTERN DENTAL S NOTICE OF PRIVACY PRACTICE
ACKNOWLEDGEMENT OF RECEIPT OF WESTERN DENTAL S NOTICE OF PRIVACY PRACTICE By signing this document, I acknowledge that I have received a copy of Western Dental s Joint Notice of Privacy Practices. Name
More informationMERCY HEALTH MEDICAL TRANSPORTATION SERVICES PRIVACY NOTICE Revised Notice Effective Date: September 23, 2013
MERCY HEALTH MEDICAL TRANSPORTATION SERVICES PRIVACY NOTICE Revised Notice Effective Date: September 23, 2013 THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU
More informationNotice of Privacy Practices
LiveWell Group 7781 Cooper Road 2 nd floor Suite 5 Cincinnati OH, 45242 Notice of Privacy Practices THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET
More informationAllergic Disease Associates, PC / The Asthma Center and Allergy & Asthma Research of New Jersey
Allergic Disease Associates, PC / The Asthma Center and Allergy & Asthma Research of New Jersey NOTICE OF PRIVACY PRACTICES Effective date: September 23, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION
More informationNOTICE OF PRIVACY PRACTICES FOR ORTHOPAEDIC SURGERY & REHAB. ASSOCIATES, P.C.
NOTICE OF PRIVACY PRACTICES FOR ORTHOPAEDIC SURGERY & REHAB. ASSOCIATES, P.C. Effective date: April 14, 2003 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW TO
More informationA A E S C. Albuquerque Ambulatory Eye Surgery Center NOTICE OF PRIVACY PRACTICES
A A E S C Albuquerque Ambulatory Eye Surgery Center NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
More informationOFFICE OF THE ARIZONA ATTORNEY GENERAL Mark Brnovich. STATE OF ARIZONA DURABLE HEALTH CARE POWER OF ATTORNEY Instructions and Form
OFFICE OF THE ARIZONA ATTORNEY GENERAL Mark Brnovich STATE OF ARIZONA DURABLE HEALTH CARE POWER OF ATTORNEY Instructions and Form GENERAL INSTRUCTIONS: Use this Durable Health Care Power of Attorney form
More informationNOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES Effective Date: Immediately This information is made available to all patients THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU
More informationState of Ohio Living Will Declaration Notice to Declarant
State of Ohio Living Will Declaration Notice to Declarant The purpose of this Living Will Declaration is to document your wish that life-sustaining treatment, including artificially or technologically
More informationPRIVACY HIPAA NOTICE OF PRACTICE
PRIVACY HIPAA NOTICE OF PRACTICE Bux-Mont Allergy & Asthma, L.L.C. NOTICE OF PRIVACY PRACTICES Effective date: September 23, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
More informationNOTICE OF HIPAA PRIVACY AND SECURITY PRACTICES
SCHOOL DISTRICT OF BLACK RIVER FALLS 523.5 Exhibit NOTICE OF HIPAA PRIVACY AND SECURITY PRACTICES PRIVACY NOTICE This notice describes how medical information about you may be used and disclosed and how
More informationDPower of Attorney for Health Cared
State of Illinois Illinois Department of Public Health Illinois Statutory Short Form DPower of Attorney for Health Cared NOTICE TO THE INDIVIDUAL SIGNING THE POWER OF ATTORNEY FOR HEALTH CARE No one can
More informationOrgan Donation Qatar. A gift that lasts a lifetime.
Organ Donation Qatar A gift that lasts a lifetime. Table of Contents Introduction 2 Organ Donation 3 Types of Organ Donation 3 Deceased Donor 3 Live Organ Donation 4 Advantages of the Transplantation 4
More informationHealth Insurance Portability and Accountability Policy 1.8.4
Health Insurance Portability and Accountability Policy 1.8.4 Appendix C Uses and Disclosures of PHI Procedures This Appendix covers procedures related to Uses and Disclosures of PHI. Disclosures to Law
More informationKidney Transplant Program. Guide to Understanding Transplant
Kidney Transplant Program Guide to Understanding Transplant The wonderful physicians and staff of the Stanford Kidney Transplant Program are always there to contact if I have a question or concern. They
More informationPl"OtocolDirector: Iris Schrijver _ IRB Approval Date: _June 20 2006 IRE Expiration Date: June 19, 2007 _ STANFORD SAMPLE CONSENT FORM
Protocol Title: Molecular genetic basis of sensorineural hearing Pl"OtocolDirector: Iris Schrijver IRB Approval Date: June 20 2006 IRE Expiration Date: June 19, 2007 STANFORD SAMPLE CONSENT FORM Please
More informationCARING HOSPICE SERVICES NOTICE OF PRIVACY PRACTICES
Original effective date: 2003 Effective date of last Revision: July 17, 2013 CARING HOSPICE SERVICES NOTICE OF PRIVACY PRACTICES Caring Hospice Services of Connecticut Caring Hospice Services of New York
More informationLIFE SAVER: For NAVAIR employee, kidney donation marks a personal milestone
Helen Wernecke, General Training department head for the Naval Aviation Training Systems Program Office (PMA-205) at Naval Air Station Patuxent River, Md., and church-friend Michael Pipkin, recently celebrated
More informationKidney Pre-Transplant Patient Education Handbook. Charles O. Strickler Transplant Center
Kidney Pre-Transplant Patient Education Handbook Charles O. Strickler Transplant Center Kidney Pre-Transplant Patient Education Handbook Charles O. Strickler Transplant Center Kidney Transplant Program
More informationSTUDENT GUIDE TO FINANCIAL AID AND STUDY ABROAD 2015-2016 FINANCIAL AID ADVISORS
STUDENT GUIDE TO FINANCIAL AID AND STUDY ABROAD 2015-2016 This guide is meant to answer most of your basic questions about using your financial aid to help you cover the costs of a study abroad program.
More informationHow To Protect Your Privacy At A Clinic
NOTICE OF PRIVACY PRACTICES University HealthCare Alliance Effective Date: September 23, 2013 THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED. PLEASE REVIEW IT CAREFULLY.
More information